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Showing 10 results for Sleep
Zahra Shafiee, Sima Babaee, Abdollah Nazari, Vajihe Atashi,
Volume 2, Issue 2 (9-2013)
Abstract
Abstract Aim. The aim of this study was to examine the effect of massage therapy on sleep quality of patients after coronary artery bypass surgery (CABG). Background. Poor sleep quality is common among patients following CABG and has been noticeable for more than 30 years. Method. In this quasi-experimental study, 72 patients, who had undergone CABG in Isfahan Chamran Hospital were were recruited. The patients were randomly assigned to the two experimental and control groups. The patients of the experimental group received light pressure stroking massage for 20 minutes in four sessions after the surgery. The patients in control group received only the routine care. The patients› sleep quality was measured before and after the intervention with St Mary›s Hospital Sleep Questionnaire. Data were analyzed by SPSS software, version 18 and descriptive and inferential statistical methods were used for data analysis. Findings. Mean scores for sleep quality before the intervention in the experimental and control groups were 22.5±3.6 and 22±3.8, respectively, and no statistically significant difference seen between them. After the intervention, there was a statistically significant difference between mean scores for sleep quality of the experimental and control groups (11.8±2.8 vs 15.5±4.7) (P<0.001). Conclusion. The use of massage therapy can promote sleep quality of patients after CABG and due to low cost and simplicity it can be used as a complement to drug therapy and postoperative interventions implemented in these patients.
Shahrzad Ghiasvandian, Robabeh Haghverdi, Masoumeh Zakerimoghadam, Anoshirvan Kazemnezhad, Mehdi Mousavi, Yaser Saeid,
Volume 3, Issue 3 (12-2014)
Abstract
Aim. The aim of this study was to examine the effect of preferred music on sleep quality of patients after coronary artery bypass surgery (CABG).
Background. Sleep disorder is common among patients undergoing coronary artery bypass surgery that can also affect other postoperative outcomes.
Method. This study was a quasi-experimental trial in which 70 patients who were undergoing coronary artery bypass surgery were recruited using convenience sampling method and assigned into the experimental and control group. Patients in experimental group listened to their preferred music by MP3 player for 20 minutes during 4 consecutive days, while patients in control group received only routine care. The patients’ sleep quality was measured before and after the intervention by means of Pittsburgh sleep quality inventory. Data were analyzed by SPSS, version 16, and descriptive and inferential statistical were used to report the findings.
Findings. There was no statistically significant difference in sleep quality, before and after intervention in experimental and control groups.
Conclusion. Music did not have effect on sleep quality among patients undergoing coronary artery bypass surgery, but the study can be reproduced with some modifications (change in intervention time and period and targeted selection of patients) in future studies.
Mohammad-Ali Cheraghi, Khadijeh Akbari, Fatemeh Bahramnezhad, Hamid Haghani,
Volume 3, Issue 4 (3-2015)
Abstract
Aim. This study was conducted to determine the effect of instrumental music on sleep in patients admitted to the coronary care unit (CCU).
Background. Poor quality sleep, as a distressing situation, can aggravate myocardial ischemia and infarction. The music as a cheap, and noninvasive approach with a slow rhythm, monotonous and repetitive, may have inducing-sleep or relaxation effect.
Method. The present study was a clinical trial conducted in 2014. The samples consisted of 72 patients with acute coronary syndrome admitted to coronary care unit of hospitals affiliated with Tehran University of Medical Sciences. They were selected using the simple random sampling method and divided into experimental (n=36) and control (n=36) group. The quality of sleep was measured in the beginning of hospitalization and three days after admision, and the quantity of sleep was measured all the three days using the Pittsburgh sleep quality index and the sleep log quantity indices in experimental and control group. The intervention was implemented in the form of playing instrumental music in headphones since the first night of hospitalization for a three-night time span (45 minutes a night) in the beginning of the patients’ sleep. Data were analyzed by SPSS software, version 16, using descriptive and inferential statistics (chi-square, fisher's exact test, independent samples T test).
Findings. According to the findings, the mean change in the sleep quality score, before and after intervention, and sleep quantity at the three nights of hospitalization were significantly different between experimental and control group (p<0.0001).
Conclusion. The instrumental music can be effective in improving patients’ sleep quality and quantity. Therefore, nurses can benefit from this non-pharmacological method in their daily care to improve their patients’ sleep.
Mohammad-Ziae Totonchi, Rasoul Azarfarin, Hoda Jorfi,
Volume 3, Issue 4 (3-2015)
Abstract
Aim. This study aimed to evaluate the effect of preoperative cardiac surgery nursing care education on anx-iety, quality of sleep, fasting time and cardiac medication usage in cardiac surgery patients.
Background. Cardiac surgery is one of the most important therapeutic approaches in patients with heart diseases. According to previous studies it is necessary to reduce the anxiety level and improve the quality of sleep the night before surgery, fasting according to standard protocols and continuing usage of cardiac medications.
Method. This study was a quasi-experimental trial in which patients were studied in two groups (before-training group and after-training group). One hundred cardiac surgery patients were selected based on in-clusion criteria as before-training group and evaluated in terms of anxiety level, quality of sleep, fasting time and cardiac medication usage in the night before surgery. Sampling lasted for 42 days. Then, all of the surgical nurses were trained individually for a week, and given pamphlets. Their educational content in-cluded the latest fasting protocols, non-pharmacological methods of reducing anxiety and improving quality of sleep and emphasizing on the importance of cardiac medication usage in the night before surgery. Then, another 100 patients were evaluated as the after-training group. Sampling from this group lasted for 38 days. The tools included demographic sheet and Spielberger anxiety questionnaire. Data were analyzed with SPSS software.
Findings. The findings of this study showed a statistically significant difference in anxiety level between before-training group and after-training group (P<0.0001). Also, there was a significant statistical differ-ence in quality of sleep between two groups (P=0.004). But, there was not a statistically significant differ-ence in fasting hours and cardiac medication usage between two groups.
Conclusion. According to the findings, educating preoperative cardiac surgery nursing care decreased anxi-ety level and improved quality of sleep in after-training group. But this intervention neither decreased fast-ing hours nor increased continuing cardiac medication usage in after-training group.
Masoumeh Zakeri Moghadam, Nesa Mousavi Malek, Maryam Esmaeeli, Anoushiravan Kazem Nejad,
Volume 4, Issue 4 (3-2016)
Abstract
Abstract Aim. The purpose of the present study was to examine the effect of supportive educational intervention on quality of sleep before coronary artery bypass grafting surgery. Background. Patients who are waiting for surgery, experience high levels of stress and anxiety due to invasive nature of the procedure. This experience may influence their sleep quality. Disturbed sleep could lead to worsening the disease condition and reduces the process of recovery. Using non-pharmacological methods such as Benson muscle relaxation, deep breathing and guided imagery could be safe and useful for solving patients’ sleep problems before surgery. Method. The present study was a quasi-experimental clinical trial in which 160 patients undergoing coronary artery bypass grafting surgery who hospitalized in cardiac surgery wards and cardiac intensive care units of selected hospitals of Tehran University of Medical Science were recruited and divided into two experimental (n=80) and control (n=80) group. Demographic data questionnaire was given to the patients at the first day of hospital admission. The control group received routine care. The intervention group received routine care and supportive educational intervention for at least two days between 4 and 6 p.m. All of the patients filled Groningen sleep quality scale in the day of surgery. Data analyzed by SPSS version 16. Findings. Before surgery, the mean score of sleep quality was 4.6±5.50 in intervention group and 10.76±1.27 in control group. There was a statistically significant difference between the experimental and control group in terms of sleep quality as the experimental group reported higher quality sleep than control group (P<0.0001). Conclusion. Implementation of non-pharmacological methods such as relaxation, deep breathing, and guided imagery could be a good alternative method for hypnotic and sedative drugs. This could be one of the nursing interventions before coronary artery bypass grafting surgery as a safe, available and useful method.
Zahra Tazakori, Soodabeh Babaee, Mansooreh Karimolahi, Fatemeh Bayat, Leila Mohammad Taghizadeh Kashan,
Volume 5, Issue 1 (6-2016)
Abstract
Abstract
Aim. This study aimed to examine the
effect of damask rose on sleep
quality of patients undergoing angiography admitted to cardiac care unit.
Background. Sleep is one of the basic human
needs and determine the health and recovery. Most patients hospitalized in
cardiac care unit experience some degrees of sleep disorder.
Method. In this double-blind clinical trial,
90 patients were randomly allocated to experimental (n=45) and control (n=45)
group. Data collection instrument consisted of demographic data and St. Mary's
Hospital Sleep Questionnaire (SMHSQ). In experimental group, damask rose
extract was given by oral route, 15 drops every 8 hours. The patients in
control group received placebo by oral route, 15 drops every 8 hours. Data were
collected, before and after intervention and were analyzed in SPSS 16 using descriptive and
inferential statistic.
Findings. Both groups were homogeneous in
terms of demographic characteristics. There was no statistically significant
between groups in terms of sleep quality, but, a statistically significant
difference was found between sleep quality, before and after intervention, in
each group.
Conclusion. A significant difference before and
after treatment in both groups can show that any effort by the nursing staff
even drop placebo may have an effect on sleep quality. Damask rose extract was
not found to have a significant effect on quality of sleep in control group compared
with the control group. It is recommended to replicate the study with longer
duration of intervention and/ or changing the method of damask rose
administration.
Behnam Yari-Bajelani, Shiva Khaleghparast, Mohammad Imanipour, Ziae Totonchi, Ali Gholami, Sana Shahrabadi,
Volume 7, Issue 4 (3-2019)
Abstract
Abstract
Aim. This study aimed to examine the effect of open visiting hours on sleep quality, anxiety, and satisfaction of patients undergoing coronary artery bypass graft surgery (CABG).
Background. The importance of visiting patients after CABG has been emphasized in various studies, but there is insufficient evidence to confirm whether restricted /open visits may have more positive or negative effects than each other.
Method. In this clinical trial study, 60 post-CABG patients, admitted to Shahid Rajaei Cardiovascular, Medical and Research center, were randomly selected and divided into experimental (n=30) and control group (n=30). Patients in experimental group received an open visiting schedule (free visiting) and those in control group experienced a regular visiting schedule (restricted visiting). Anxiety was measured on the second and fourth days of hospitalization by the Spielberger Anxiety Inventory (STAI), sleep quality was measured by Richard Campbell and satisfaction was assessed through researcher-made questionnaire on the fourth day of hospitalization. Data were analyzed using independent t-test in SPSS-20 software.
Findings. There was a statistically significant difference between control and experimental groups in terms of anxiety mean score (43.97±6.76 against 35.90±4.31, respectively) (p≤0.0001). There was also a statistically significant difference between control and experimental groups in terms of mean score of patient satisfaction (46.13±7.15 vs 32.23±4.67, respectively) (p≤0.0001). A statistically significant difference was found between control and experimental groups in terms of sleep quality mean score (2.33±0.8 vs 3.33±0.75, respectively) (p≤0.0001).
Conclusion. Open visiting can reduces anxiety, and improves sleep quality and patients' satisfaction after CABG.
Fatemeh Mohaddes-Ardebili, Naeimeh Seyedfatemi, Fatemeh Maroofkhani, Mohammad Reza Zarei, Leila Mamashli, Mehri Bozorgnezhad,
Volume 8, Issue 1 (3-2019)
Abstract
Abstract
Aim. The aim of this study was to investigate the relationship between spiritual health and sleep quality in people with heart failure.
Background. The quality of sleep in patients with heart failure is unfavorable compared to healthy individuals. It is stated that in some societies, spirituality is related to mental health and sleep quality.
Method. In this descriptive correlational study, 207 people with heart failure, who were recruited in the study through convenience sampling method, were given demographic questionnaires, Pittsburgh sleep quality and Alison and Palutzian spiritual health questionnaires. Data were analyzed using descriptive and inferential statistics in SPSS V24.
Findings. The mean total score of sleep quality was 8.90±3.16; indicating that the sleep quality of people with heart failure was at an unfavorable level. The mean total score of spiritual health was 93.36±9.20; demonstrating that the level of spiritual health of the people with heart failure was moderately high. There was a statistically significant positive relationship between sleep quality and spiritual health (r=0.175, p=0.026).
Conclusion. People with heart failure who have higher spiritual health experience better sleep quality. It is recommended to pay attention to spiritual health as well as to the physical health of patients when planning caring programs for these people.
Sayed Ehsan Kazemeini, Tahereh Ranjbaripour, Atefeh Nezhadmohammad Nameghi, Sheida Sodagar, Parisa Peyvandi,
Volume 10, Issue 1 (3-2021)
Abstract
Abstract
Aim. The aim of this study was to compare the effect of mindfulness-based cognitive therapy and acceptance and commitment therapy on sleep quality and health promoting lifestyle behaviors in patients with heart failure.
Background. Consequences of heart failure create problems with sleep quality and lifestyle that affect the course of the disease. Mindfulness-based cognitive therapy and acceptance and commitment therapy are some of the potential effective interventions on those.
Method. The present study was a quasi-experimental with a pretest-posttest design and a control group with quarterly follow-up. The sample size was 45 people which were purposefully selected and then randomly assigned to two experimental groups (n=30) and one control group (n=15). Data were collected in three stages using the Sleep Quality Index Pittsburgh of Boyce et al. (1989) and the Health-Promoting Lifestyle Questionnaire of Walker et al. (1987). Mindfulness-based cognitive therapy and acceptance and commitment therapy for experimental groups were performed and data analysis was performed in SPSS-25 software through analysis of covariance.
Findings. Both acceptance and commitment therapy and mindfulness-based cognitive therapy in post-test and follow-up (F=181.224, P≤0.0001) and (F=62.315, P≤0.0001), improved sleep quality and health-promoting lifestyle behaviors when compared to the control group. Despite the effect of both interventions, the superiority of acceptance and commitment therapy (P< 0.001) on health promoting lifestyle was found. There was no statistically significant difference between two interventions (P=0.967) in terms of improving sleep quality.
Conclusion. According to the results, both interventions were effective on sleep quality and health-promoting lifestyle behaviors, especially acceptance and commitment therapy was more effective on health-promoting lifestyle behaviors, so, in medical settings it can be used along with medical treatments for patients with heart failure.
Nasim Sedighian, Elham Nomiri, Ali Ghorbani, Shadieh Sadegh Sheykhi,
Volume 12, Issue 1 (3-2023)
Abstract
Abstract
Aim. The aim of the present study was to investigate the relationship of sleep quality and perceived stress with depression in women with acute myocardial infarction and anxiety symptoms.
Background. Depression is a common disorder with a lifetime prevalence of about 15 percent, and today it is considered the main cause of disability worldwide and ranks fourth among the ten main causes of the global burden of disease, which is characterized by long-term periods, a variety of symptoms. It is accompanied by a high rate of recurrence and many physical and mental disorders.
Method. Descriptive-correlational research design was selected for conducting the study. Statistical population included the women with acute heart attack living in Tehran in year 2022. Seventy people who scored higher than average in the anxiety questionnaire were selected as the research sample. The tools of data collection in this research were anxiety, depression, sleep quality and perceived stress questionnaires.
Findings. The results showed that there was a positive and statistically significant relationship between sleep quality and negative perceived stress and depression, and also a negative and statistically significant relationship was found between positive perceived stress and depression. Sleep quality, negative perceived stress, and positive perceived stress could predict respectively 0.18, 0.20, and 0.08 of changes in depression score.
Conclusions. Sleep problems can cause psychological distress and decrease concentration in people, so it can be expected that an increase in sleep problems can reduce a person's energy, and by increasing anxiety, it can cause an increase in psychological problems such as depression. Therefore, people who suffer from heart disease often endure a high level of anxiety due to the risk of the disease, which can be associated with increased sleep problems, thus leading to depression in them.
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